

Womens Health Nursing Exam Solutions
Course Introduction
Womens Health Nursing focuses on the unique health care needs of women across the lifespan, encompassing reproductive, gynecological, obstetric, and psychosocial aspects of well-being. The course explores health promotion, disease prevention, and management of common and complex conditions affecting women, emphasizing evidence-based practice, patient education, and culturally competent care. Students learn to provide holistic nursing care, advocate for womens health issues, and collaborate with interdisciplinary teams to optimize womens physical, emotional, and social health outcomes.
Recommended Textbook
Maternal Child Nursing 4th Edition by
Emily Slone McKinney
Available Study Resources on Quizplus
55 Chapters
1617 Verified Questions
1617 Flashcards
Source URL: https://quizplus.com/study-set/918

Page 2

Chapter 1: Foundations of Maternity, Womens Health, and Child Health Nursing
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/18056
Sample Questions
Q1) The United States ranks 25th in infant mortality rates of the world.Which factor has a significant impact on decreasing the mortality rate of infants?
A) Resolving all language and cultural differences
B) Enrolling the pregnant woman in the Medicaid program by the 8th month of pregnancy
C) Ensuring early and adequate prenatal care
D) Providing more women's shelters
Answer: C
Q2) The fastest-growing group of homeless people is:
A) Men and women preparing for retirement
B) Migrant workers
C) Single women and their children
D) Intravenous (IV) substance abusers
Answer: C
Q3) The level of practice a reasonably prudent nurse provides is called:
A) The standard of care
B) Risk management
C) A sentinel event
D) Failure to rescue
Answer: A
To view all questions and flashcards with answers, click on the resource link above. Page 3
Chapter 2: The Nurses Role in Maternity, Womens Health, and Pediatric Nursing
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/18057
Sample Questions
Q1) When addressing the questions of a newly pregnant woman,the nurse can explain that the certified nurse-midwife is qualified to perform:
A) Regional anesthesia
B) Cesarean deliveries
C) Vaginal deliveries
D) Internal versions
Answer: C
Q2) Which goal is most appropriate for the collaborative problem of wound infection?
A) The patient will have a temperature of 98.6° F within 2 days.
B) The patient's fluid intake will be maintained at 1000 mL per 8 hours.
C) The patient will not exhibit further signs of infection.
D) The patient will be monitored to detect therapeutic response to antibiotic therapy.
Answer: D
Q3) To evaluate the woman's learning about performing infant care,the nurse should:
A) Demonstrate infant care procedures.
B) Allow the woman to verbalize the procedure.
C) Observe the woman as she performs the procedure.
D) Routinely assess the infant for cleanliness.
Answer: C

Page 4
To view all questions and flashcards with answers, click on the resource link above.

Chapter 3: The Childbearing and Child-Rearing Family
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/18058
Sample Questions
Q1) A nurse observes that parents discuss rules with their children when the children do not agree with the rules.Which style of parenting is being displayed?
A) Authoritarian
B) Authoritative
C) Permissive
D) Disciplinarian
Answer: B
Q2) While reviewing the dietary-intake documentation of a 7-year-old Asian boy with a fractured femur,the nurse notes that he consistently refuses to eat the food on his tray.What assumption is most likely accurate?
A) He is a picky eater.
B) He needs less food because he is on bed rest.
C) He may have culturally related food preferences.
D) He is probably eating between meals and spoiling his appetite.
Answer: C
Q3) ___________ refers to the view that one's own culture's way of doing things is always the best.
Answer: Ethnocentrism
To view all questions and flashcards with answers, click on the resource link above.

Chapter 4: Communicating With Children and Families
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/18059
Sample Questions
Q1) What is an appropriate preoperative teaching plan for a school-age child?
A) Begin preoperative teaching the morning of surgery.
B) Schedule a tour of the hospital a few weeks before surgery.
C) Show the child books and pictures 4 days before surgery.
D) Limit teaching to 5 minutes and use simple terminology.
Q2) In planning care for a preschool-age child,the nurse knows that which open body postures encourage positive communication? Select all that apply.
A) Leaning away from the preschooler
B) Frequent eye contact
C) Hands on hips
D) Conversing at eye level
E) Asking the parents to stay in the room
Q3) When meeting a toddler for the first time,the nurse initiates contact by
A) Calling the toddler by name and picking the toddler up
B) Asking the toddler for her first name
C) Kneeling in front of the toddler and speaking softly to the child
D) Telling the toddler that you are her nurse.
To view all questions and flashcards with answers, click on the resource link above.

Chapter 5: Health Promotion for the Developing Child
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/18060
Sample Questions
Q1) Which factor has the greatest influence on child growth and development?
A) Culture
B) Environment
C) Genetics
D) Nutrition
Q2) Which statement best describes development in infants and children?
A) Development, a predictable and orderly process, occurs at varying rates within normal limits.
B) Development is primarily related to the growth in the number and size of cells.
C) Development occurs in a proximodistal direction with fine muscle development occurring first.
D) Development is more easily and accurately measured than growth.
Q3) Which child is most likely to be frightened by hospitalization?
A) A 4-month-old infant admitted with a diagnosis of bronchiolitis
B) A 2-year-old toddler admitted for cystic fibrosis
C) A 9-year-old child hospitalized with a fractured femur
D) A 15-year-old adolescent admitted for abdominal pain
To view all questions and flashcards with answers, click on the resource link above.

Chapter 6: Health Promotion for the Infant
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/18061
Sample Questions
Q1) In terms of gross motor development,what would the nurse expect a 5-month-old infant to do?
A) Roll from abdomen to back.
B) Roll from back to abdomen.
C) Sit erect without support.
D) Move from prone to sitting position.
Q2) A mother asks the nurse,"When should I begin to clean my baby's teeth?" What is the best response for the nurse to make?
A) "You can begin when all her baby teeth are in."
B) "You can easily begin now. Just put some toothpaste on a gauze pad to clean the teeth."
C) "I don't think you have to worry about that until she can handle a toothbrush."
D) "You can begin as soon as your child has a tooth. The easiest way is to take cotton swabs or a face cloth and just wipe the teeth. Toothpaste is not necessary."
To view all questions and flashcards with answers, click on the resource link above.

Chapter 7: Health Promotion during Early Childhood
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/18062
Sample Questions
Q1) The nurse is teaching parents of a toddler about language development.Which statement best identifies the characteristics of language development in a toddler?
A) Language development skills slow during the toddler period.
B) The toddler understands more than he can express.
C) Most of the toddler's speech is not easily understood.
D) The toddler's vocabulary contains approximately 600 words.
Q2) The nurse is assessing parental knowledge of temper tantrums.Which are true statements about temper tantrums? Select all that apply.
A) Temper tantrums are a common response to anger and frustration in toddlers.
B) Temper tantrums often include screaming, kicking, throwing things, and head banging.
C) Parents can effectively manage temper tantrums by giving in to the child's demands.
D) Children having temper tantrums should be safely isolated and ignored.
E) Parents can learn to anticipate times when tantrums are more likely to occur.
Q3) A disturbance in the flow and time patterning of speech is known as ____________.
To view all questions and flashcards with answers, click on the resource link above. Page 9
Chapter 8: Health Promotion for the School-Age Child
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/18063
Sample Questions
Q1) Which strategies can a nurse teach to parents of a child experiencing uncomplicated school refusal? Select all that apply.
A) The child should be allowed to stay home until the anxiety about going to school is resolved.
B) Parents should be empathetic yet firm in their insistence that the child attends school.
C) A modified school attendance may be necessary.
D) Parents need to pick the child up at school whenever the child wants to come home.
E) Parents need to communicate with the teachers about the situation.
Q2) A school nurse is conducting a class on safety for a group of school-age children.Which statement indicates that the children may need further teaching?
A) "My sister and I know two different ways to get out of the house."
B) "I can dial 911 if there is a fire or a burglar in the house."
C) "My mother has told us that if we have a fire, we have to meet at the neighbor's house."
D) "If there is a fire I will have to go back in for my cat Fluffy because she will be scared."
To view all questions and flashcards with answers, click on the resource link above.

10

Chapter 9: Health Promotion for the Adolescent
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/18064
Sample Questions
Q1) You are working as the triage nurse in a pediatric emergency room.You receive a telephone call from the mother of an adolescent whose front tooth was completely knocked out of his mouth while he was playing soccer.The mother is seeking advice.Which is the appropriate response? Select all that apply.
A) Rinse the tooth in lukewarm tap water.
B) Place the tooth in saline, milk, or water.
C) Scrub the tooth with a disinfectant, such as mouth wash.
D) Bring the child to the emergency room within the next hour for the best prognosis.
Q2) What predisposes the adolescent to feel an increased need for sleep?
A) An inadequate diet
B) Rapid physical growth
C) Decreased activity that contributes to a feeling of fatigue
D) The lack of ambition typical of this age-group
Q3) In girls,the initial indication of puberty is
A) Menarche
B) Growth spurt
C) Growth of pubic hair
D) Breast development
To view all questions and flashcards with answers, click on the resource link above.

Chapter 10: Hereditary and Environmental Influences on Development
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/18065
Sample Questions
Q1) Chromosomes are composed of genes,which are composed of DNA.Abnormalities are either numerical or structural in nature.Which abnormalities are structural? Select all that apply.
A) Part of a chromosome is missing.
B) The material within a chromosome is rearranged.
C) One or more sets of chromosomes are added.
D) Entire single chromosome is added.
E) Two chromosomes adhere to each other.
Q2) The karyotype of a person is 47,XY,+21.This person is a
A) Normal male
B) Male with Down syndrome
C) Normal female
D) Female with Turner syndrome
Q3) A change in a gene that alters or harms function is known as a mutation.In contrast,an alternate healthy form of a gene is known as a ___________.
Q4) The ____________________ Project is an international effort begun in 1990 for the purpose of identifying all 46 human chromosomes.
To view all questions and flashcards with answers, click on the resource link above. Page 12

Chapter 11: Reproductive Anatomy and Physiology
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/18066
Sample Questions
Q1) Which man is most likely to have abnormal sperm formation resulting in infertility?
A) A 20-year-old man with undescended testicles
B) An uncircumcised 40-year-old man
C) A 35-year-old man with previously treated sexually transmitted disease
D) A 16-year-old adolescent who is experiencing nocturnal emissions
Q2) Which combination of sex chromosomes is present in a female?
A) XY
B) XYY
C) XXY
D) XX
Q3) In describing the size and shape of the nonpregnant uterus to a patient,the nurse would say it is approximately the size and shape of a
A) Cantaloupe
B) Grapefruit
C) Pear
D) Large orange
Q4) A woman's ability to reproduce decreases over a period of years.This is often referred to as the _____________.
To view all questions and flashcards with answers, click on the resource link above.
13

Chapter 12: Conception and Prenatal Development
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/18067
Sample Questions
Q1) Very fine hairs,called __________,appear first on the fetus's eyebrows and upper lip at 12 weeks of gestation.By 20 weeks,they cover the entire body.By 28 weeks,the scalp hair is longer than these fine hairs,which thin and may disappear by term gestation.
Q2) Which part of the mature sperm contains the male chromosomes?
A) The head of the sperm
B) The middle portion of the sperm
C) X-bearing sperm
D) The tail of the sperm
Q3) While teaching an early pregnancy class,the nurse explains that the morula is a
A) Fertilized ovum before mitosis begins
B) Flattened disc-shaped layer of cells within a fluid-filled sphere
C) Double layer of cells that becomes the placenta
D) Solid ball composed of the first cells formed after fertilization
Q4) When teaching contraception,the nurse must be able to effectively communicate the nuances of conception.An ovum has the capacity to be fertilized for only 24 hours,whereas a sperm may remain fertile for up to 80 hours.Is this statement true or false?
A)True
B)False
To view all questions and flashcards with answers, click on the resource link above. Page 14

Chapter 13: Adaptations to Pregnancy
Available Study Resources on Quizplus for this Chatper
43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/18068
Sample Questions
Q1) As a nurse in labor and delivery,you are caring for a Muslim woman during the active phase of labor.You note that when you touch her,she quickly draws away.You should
A) Continue to touch her as much as you need to while providing care.
B) Assume that she doesn't like you and decrease your time with.
C) Limit touching to a minimum, as this may not be acceptable in her culture.
D) Ask the charge nurse to reassign you to another patient.
Q2) During pregnancy there are a number of changes that occur as a direct result of the presence of the fetus.Which of these adaptations meet this criteria? Select all that apply.
A) Leukorrhea
B) Development of the operculum
C) Quickening
D) Ballottement
E) Lightening
Q3) In order to prevent neural tube defects,updated recommendations include an intake of 0.4 mg to 0.8 mg of ___________________ each day from one month prior to conception until 8 to 10 weeks of pregnancy.
To view all questions and flashcards with answers, click on the resource link above. Page 15

Chapter 14: Nutrition for Childbearing
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/18069
Sample Questions
Q1) To increase the absorption of iron in a pregnant woman,the iron preparation should be given with
A) Milk
B) Tea
C) Orange juice
D) Coffee
Q2) The recommended diet for pregnancy differs from the recommended diet for lactation,because
A) Lactating women require more calories and protein.
B) Pregnant women need more calcium.
C) Lactating women require fewer vitamins.
D) Pregnant women require more iron and protein.
Q3) A pregnant patient would like to know a good food source of calcium other than dairy products.Your best answer is
A) Legumes
B) Yellow vegetables
C) Lean meat
D) Whole grains
To view all questions and flashcards with answers, click on the resource link above. Page 16
Chapter 15: Prenatal Diagnostic Tests
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/18070
Sample Questions
Q1) What is the purpose of amniocentesis for the patient hospitalized at 34 weeks with pregnancy-induced hypertension?
A) Identification of abnormal fetal cells
B) Detection of metabolic disorders
C) Determination of fetal lung maturity
D) Identification of sex of the fetus
Q2) When is the best time to determine gestational age based on biparietal diameter through ultrasound?
A) 4 to 6 weeks
B) 5 to 7 weeks
C) 7 to 10 weeks
D) 12 to 20 weeks
Q3) A woman who is 36 weeks pregnant reports to the labor and delivery triage area expressing concerns that her baby "is not moving." Along with a nonstress test (NST)the nurse might also use ______________ to determine fetal well-being.
To view all questions and flashcards with answers, click on the resource link above.

17

Chapter 16: Giving Birth
Available Study Resources on Quizplus for this Chatper
41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/18071
Sample Questions
Q1) To adequately teach patients about the process of labor,the nurse knows that which event is the best indicator of true labor?
A) Bloody show
B) Cervical dilation and effacement
C) Fetal descent into the pelvic inlet
D) Uterine contractions every 7 minutes
Q2) Leopold's maneuvers are used by practitioners to determine
A) The best location to assess the fetal heart rate (FHR)
B) Cervical dilation and effacement
C) Whether the fetus is in the posterior position
D) The status of the membranes
Q3) A laboring woman is lying in the supine position.The most appropriate nursing action is to
A) Ask her to turn to one side.
B) Elevate her feet and legs.
C) Take her blood pressure.
D) Determine if fetal tachycardia is present.
Q4) Inquiring about past pregnancies is an important part of the nursing assessment.Women who have had a previous cesarean birth may request a trial of labor and a ______ delivery.
Page 18
To view all questions and flashcards with answers, click on the resource link above.

Chapter 17: Intrapartum Fetal Surveillance
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/18072
Sample Questions
Q1) The nurse-midwife is concerned that a woman's uterine activity is too intense and that her obesity is preventing accurate assessment of the actual intrauterine pressure.On the basis of this information,the nurse should obtain a(n)
A) Tocotransducer
B) Scalp electrode
C) Intrauterine pressure catheter
D) Doppler transducer
Q2) Which maternal condition is considered a contraindication for the application of internal monitoring devices?
A) Unruptured membranes
B) Cervix is dilated to 4 cm
C) External monitors are currently being used
D) Fetus has a known heart defect
Q3) Increasing the infusion rate of nonadditive intravenous fluids can increase fetal oxygenation primarily by
A) Maintaining normal maternal temperature
B) Preventing normal maternal hypoglycemia
C) Increasing the oxygen-carrying capacity of the maternal blood
D) Expanding maternal blood volume
To view all questions and flashcards with answers, click on the resource link above.
Page 19

Chapter 18: Pain Management for Childbirth
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/18073
Sample Questions
Q1) To assist the woman after delivery of the infant,the nurse knows that the blood patch is used after spinal anesthesia to relieve
A) Hypotension
B) Headache
C) Neonatal respiratory depression
D) Loss of movement
Q2) The use of hydrotherapy is an important nonpharmacologic modality to promote relaxation in labor.The nurse should offer the woman in labor a warm bath or shower (if no contraindications exist).The mild nipple stimulation that occurs in the water may intensify her contractions.Is this statement true or false?
A)True
B)False
Q3) The nurse caring for women in labor understands that childbirth pain is different from other types of pain in that it is
A) More responsive to pharmacologic management
B) Associated with a physiologic process
C) Designed to make one withdraw from the stimulus
D) Less intense
To view all questions and flashcards with answers, click on the resource link above.

Chapter 19: Nursing Care during Obstetric Procedures
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/18074
Sample Questions
Q1) Surgical,medical,or mechanical methods may be used for labor induction.Which technique is considered a mechanical method of induction?
A) Amniotomy
B) Intravenous Pitocin
C) Transcervical catheter
D) Vaginal insertion of prostaglandins
Q2) A maternal indication for the use of vacuum extraction is
A) A wide pelvic outlet
B) Maternal exhaustion
C) A history of rapid deliveries
D) Failure to progress past 0 station
Q3) The priority nursing care associated with an oxytocin (Pitocin)infusion is
A) Measuring urinary output
B) Increasing infusion rate every 30 minutes
C) Monitoring uterine response
D) Evaluating cervical dilation
Q4) The nurse is caring for a woman in labor at 39 weeks and 5 days of gestation.Her labor progress has slowed due to poor contractions.After discussion with the provider,a decision has been made that she is a good candidate for ___________ of labor.
To view all questions and flashcards with answers, click on the resource link above. Page 21

Chapter 20: Postpartum Adaptations
Available Study Resources on Quizplus for this Chatper
41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/18075
Sample Questions
Q1) A man calls the nurse's station stating that his wife,who delivered 2 days ago,is happy one minute and crying the next.The man says,"She was never like this before the baby was born." The nurse's initial response should be to
A) Tell him to ignore the mood swings, as they will go away.
B) Reassure him that this behavior is normal.
C) Advise him to get immediate psychological help for her.
D) Instruct him in the signs, symptoms, and duration of postpartum blues.
Q2) If the fundus is palpated on the right side of the abdomen above the expected level,the nurse should suspect that the patient has
A) Been lying on her right side too long
B) A distended bladder
C) Stretched ligaments that are unable to support the uterus
D) A normal involution
Q3) Rh<sub>o</sub> immune globulin will be ordered postpartum if which situation occurs?
A) Mother Rh-, baby Rh+
B) Mother Rh-, baby Rh-
C) Mother Rh+, baby Rh+
D) Mother Rh+, baby Rh-
To view all questions and flashcards with answers, click on the resource link above.
Page 22

Chapter 21: The Normal Newborn: Adaptation and Assessment
Available Study Resources on Quizplus for this Chatper
44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/18076
Sample Questions
Q1) Part of the newborn assessment includes examination of the umbilical cord.The cord should contain 2 vessels: one vein and one artery.Is this statement true or false?
A)True
B)False
Q2) In administering vitamin K to the infant shortly after birth,the nurse understands that vitamin K is
A) Important in the production of red blood cells
B) Necessary in the production of platelets
C) Not initially synthesized because of a sterile bowel at birth
D) Responsible for the breakdown of bilirubin and prevention of jaundice
Q3) Plantar creases should be evaluated within a few hours of birth because
A) The newborn has to be footprinted.
B) As the skin dries, the creases will become more prominent.
C) Heel sticks may be required.
D) Creases will be less prominent after 24 hours.
Q4) The shivering mechanism of heat production is rarely functioning in the newborn.Nonshivering _____________ is accomplished primarily by metabolism of brown fat,which is unique to the newborn,and by increased metabolic activity in the brain,heart,and liver.
Page 23
To view all questions and flashcards with answers, click on the resource link above.

Chapter 22: The Normal Newborn: Nursing Care
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/18077
Sample Questions
Q1) In providing and teaching cord care,what is an important principle?
A) Cord care is done only to control bleeding.
B) Alcohol is the only agent used for cord care.
C) It takes a minimum of 24 days for the cord to separate.
D) The process of keeping the cord dry will decrease bacterial growth.
Q2) An important nursing intervention is maintaining safe glucose levels in the newborn.A common practice is to feed infants either breast milk or formula if glucose screening shows results of 40 to 45 mg/dL or less.Is this statement true or false?
A)True
B)False
Q3) As part of Standard Precautions,nurses wear gloves when handling the newborn.The chief reason is
A) To protect the baby from infection
B) It is part of the Apgar protocol
C) To protect the nurse from contamination by the newborn
D) Because the nurse has primary responsibility for the baby during the first 2 hours
To view all questions and flashcards with answers, click on the resource link above.

Chapter 23: Newborn Feeding
Available Study Resources on Quizplus for this Chatper
37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/18078
Sample Questions
Q1) To initiate the milk ejection reflex,the mother should
A) Wear a firm-fitting bra.
B) Drink plenty of fluids.
C) Place the infant to the breast
D) Apply cool packs to her breast.
Q2) Many types of breast pumps are available,varying in price and effectiveness.Before either renting or purchasing a pump,the new mother would benefit from counseling by a nurse or lactation consultant to determine the most appropriate pump to suit her needs.The mother who is pumping for an occasional bottle would be most suited for which type of pump?
A) Manual or hand pump
B) Hospital grade pump
C) Electric self-cycling double pumps
D) Smaller electric or battery operated pump
Q3) To prevent breast engorgement,the new breastfeeding mother should be instructed to
A) Apply cold packs to the breast before feeding.
B) Breastfeed frequently and for adequate lengths of time.
C) Limit her intake of fluids for the first few days.
D) Feed her infant no more than every 4 hours.
To view all questions and flashcards with answers, click on the resource link above. Page 25

Chapter 24: The Childbearing Family With Special Needs
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/18079
Sample Questions
Q1) When helping the mother,father,and other family members actualize the loss of the infant,nurses should
A) Use the words lost or gone rather than dead or died.
B) Make sure the family understands that it is important to name the baby.
C) If the parents choose to visit with the baby, apply lotion to the baby and wrap the infant in a pretty blanket.
D) Set a firm time for ending the visit with the baby so that the parents know when to let go.
Q2) As a powerful central nervous system stimulant,which of these substances can lead to miscarriage,preterm labor,placental separation (abruption),and stillbirth?
A) Heroin
B) Alcohol
C) PCP
D) Cocaine
Q3) An appropriate nursing measure when a baby has an unexpected anomaly is to
A) Remove the baby from the delivery area immediately.
B) Tell the parents that the baby has to go to the nursery immediately.
C) Inform the parents immediately that something is wrong.
D) Explain the defect and show the baby to the parents as soon as possible.
To view all questions and flashcards with answers, click on the resource link above.
Page 26

Chapter 25: Pregnancy-Related Complications
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/18080
Sample Questions
Q1) Spontaneous termination of a pregnancy is considered to be an abortion ifg.
A) The pregnancy is less than 20 weeks.
B) The fetus weighs less than 1000
C) The products of conception are passed intact.
D) No evidence exists of intrauterine infection.
Q2) Which maternal condition always necessitates delivery by cesarean section?
A) Partial abruptio placentae
B) Total placenta previa
C) Ectopic pregnancy
D) Eclampsia
Q3) The nurse is explaining how to assess edema to the nursing students working on the antepartum unit.Which score indicates edema of lower extremities,face,hands,and sacral area?
A) +1 edema
B) +2 edema
C) +3 edema
D) +4 edema
Q4) The antidote administered to reverse magnesium toxicity is ______________.
Q5) The condition in which the placenta is implanted in the lower uterine segment near or over the internal cervical os is _____________.
To view all questions and flashcards with answers, click on the resource link above. Page 27
Chapter 26: Concurrent Disorders During Pregnancy
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/18081
Sample Questions
Q1) Diabetes refers to a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin action,insulin secretion or both.Over time diabetes causes significant maternal changes in the microvascular and macrovascular circulations.These complications include (select all that apply)
A) Atherosclerosis
B) Retinopathy
C) IUFD
D) Nephropathy
E) Neuropathy
Q2) In caring for a pregnant woman with sickle cell anemia the nurse is aware that signs and symptoms of sickle cell crisis include
A) Anemia
B) Endometritis
C) Fever and pain
D) Urinary tract infection
Q3) The leading cause of life threatening perinatal infections in the United States is ________ (GBS).
To view all questions and flashcards with answers, click on the resource link above.

28

Chapter 27: The Woman With an Intrapartum Complication
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/18082
Sample Questions
Q1) __________ is defined as long,difficult,or abnormal labor.It is caused by various conditions associated with the five factors affecting labor.
Q2) In planning for home care of a woman with preterm labor,the nurse needs to address which concern?
A) Nursing assessments will be different from those done in the hospital setting.
B) Restricted activity and medications will be necessary to prevent recurrence of preterm labor.
C) Prolonged bed rest may cause negative physiologic effects.
D) Home health care providers will be necessary.
Q3) An important independent nursing action to promote normal progress in labor is A) Assessing the fetus
B) Encouraging urination about every 1 to 2 hours
C) Limiting contact with the woman's partner
D) Regulating intravenous fluids
Q4) A nurse is caring for a patient in the active phase of labor.The woman's BOW spontaneously ruptures.Suddenly the woman complains of dyspnea and appears restless and cyanotic.Additionally,she becomes hypotensive and tachycardic.The nurse immediately suspects the presence of a(n)_____________.
To view all questions and flashcards with answers, click on the resource link above.
Page 29

Chapter 28: The Woman With a Postpartum Complication
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/18083
Sample Questions
Q1) A woman delivered a 9-lb,10-oz baby 1 hour ago.When you arrive to perform her 15-minute assessment,she tells you that she "feels all wet underneath." You discover that both pads are completely saturated and that she is lying in a 6-inch-diameter puddle of blood.What is your first action?
A) Call for help.
B) Assess the fundus for firmness.
C) Take her blood pressure.
D) Check the perineum for lacerations.
Q2) One of the first symptoms of puerperal infection to assess for in the postpartum woman is
A) Fatigue continuing for longer than 1 week
B) Pain with voiding
C) Profuse vaginal bleeding with ambulation
D) Temperature of 38° C (100.4° F) or higher on 2 successive days starting 24 hours after birth
Q3) The mother-baby nurse must be able to recognize what sign of thrombophlebitis?
A) Visible varicose veins
B) Positive Homans' sign
C) Local tenderness, heat, and swelling
D) Pedal edema in the affected leg
To view all questions and flashcards with answers, click on the resource link above. Page 30
Chapter 29: The High-Risk Newborn: Problems Related to Gestational
Age and Development
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/18084
Sample Questions
Q1) Which statement is true about large for gestational age (LGA)infants?
A) They weigh more than 3500g.
B) They are above the 80th percentile on gestational growth charts.
C) They are prone to hypoglycemia, polycythemia, and birth injuries.
D) Postmaturity syndrome and fractured clavicles are the most common complications.
Q2) Breast milk is best source of food almost all infants and especially for preterm infants.Breast-feeding has numerous benefits for the preterm infant.One of the most important of these benefits is reducing the incidence of necrotizing enterocolitis (NEC).Is this statement true or false?
A)True
B)False
Q3) Approximately 30% of preterm infants weighing less than 1500 g develop bleeding around and into the ventricles of the brain.This condition is known as

Q4) Which data should alert the nurse that the neonate is postmature?
A) Cracked, peeling skin
B) Short, chubby arms and legs
C) Presence of vernix caseosa
D) Presence of lanugo
Page 31
To view all questions and flashcards with answers, click on the resource link above.

Chapter 30: The High Risk Newborn: Acquired and Congenital Conditions
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/18085
Sample Questions
Q1) The most common cause of pathologic hyperbilirubinemia is
A) Hepatic disease
B) Hemolytic disorders in the newborn
C) Postmaturity
D) Congenital heart defect
Q2) A lack of O? and an increase in CO? in the blood is known as __________.This condition in the neonate may occur while in utero,at birth,or later.
Q3) HIV may be perinatally transmitted
A) Only in the third trimester from the maternal circulation
B) From the use of unsterile instruments
C) Only through the ingestion of amniotic fluid
D) Through the ingestion of breast milk from an infected mother
Q4) It is important for the nurse to remember that when performing neonatal resuscitation,the priority action should be to
A) Suction the mouth and nose.
B) Stimulate the infant by rubbing the back.
C) Perform the Apgar test.
D) Dry the infant and position the head.
Page 32
To view all questions and flashcards with answers, click on the resource link above.

Chapter 31: Management of Fertility and Infertility
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/18086
Sample Questions
Q1) You (the nurse)are reviewing the educational packet provided to a patient about tubal ligation.What is an important fact you should point out? Select all that apply.
A) "It is highly unlikely that you will become pregnant after the procedure."
B) "This is an effective form of 100% permanent sterilization. You won't be able to get pregnant."
C) "Sterilization offers some form of protection against sexually transmitted diseases."
D) "Sterilization offers no protection against sexually transmitted diseases."
E) "Your menstrual cycle will greatly increase after your sterilization."
Q2) The conscious decision on when to conceive or avoid pregnancy throughout the reproductive years is called
A) Family planning
B) Birth control
C) Contraception
D) Assisted reproductive therapy
Q3) The ____________ is one method used to evaluate the adequacy of coital technique,cervical mucous,sperm quality and penetration.
To view all questions and flashcards with answers, click on the resource link above.

Chapter 32: Womens Health Care
Available Study Resources on Quizplus for this Chatper
37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/18087
Sample Questions
Q1) The nurse providing care in a women's health care setting must be aware that which sexually transmitted disease (STD)can be cured?
A) Herpes
B) Acquired immunodeficiency syndrome (AIDS)
C) Venereal warts
D) Chlamydia
Q2) While interviewing a 48-year-old patient during her annual physical examination,the nurse learns that she has never had a mammogram.The American Cancer Society recommends annual mammography screening starting at age 40.Before the nurse encourages this patient to begin annual screening,it is important for her to understand the reasons why women avoid testing.These reasons include (select all that apply)
A) Reluctance to hear bad news
B) Fear of x-ray exposure
C) Belief that lack of family history makes this test unnecessary
D) Expense of the procedure
E) Having heard that the test is painful
To view all questions and flashcards with answers, click on the resource link above.

Chapter 33: Physical Assessment of Children
Available Study Resources on Quizplus for this Chatper
37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/18088
Sample Questions
Q1) The nurse is assessing a 4-year-old child's visual acuity.He is planning to attend preschool next week.The results indicate a visual acuity of 20/40 in both eyes.The child's father asks the nurse about his son's results.Which response,if made by the nurse,is correct?
A) "Your child will need a referral to the ophthalmologist before he can attend preschool next week."
B) "Your child's visual acuity is normal for his age."
C) "The results of this test indicate your child may be color blind."
D) "Your child did not pass the screening test. He will need to return within the next few weeks to be reevaluated."
Q2) When is the most appropriate time to inspect the genital area during a well-child examination of a 14-year-old girl?
A) It is not necessary to inspect the genital area.
B) Examine the genital area first.
C) After the abdominal assessment.
D) Do the genital inspection last.
To view all questions and flashcards with answers, click on the resource link above.

Chapter 34: Emergency Care of the Child
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/18089
Sample Questions
Q1) What is an appropriate nursing intervention for a 6-month-old infant in the emergency department?
A) Distract the infant with noise or bright lights.
B) Avoid warming the infant.
C) Remove any pacifiers from the baby.
D) Encourage the parent to hold the infant.
Q2) A 2-year-old child is in the playroom.The nurse observes him picking up a small toy and putting it in his mouth.The child begins to choke.He is unable to speak.Which intervention is appropriate?
A) Heimlich maneuver
B) Abdominal thrusts
C) Five back blows
D) Five chest thrusts
Q3) What is the nurse's immediate action when a child comes to the emergency department with sweating,chills,and fang bite marks on the thigh?
A) Secure antivenin therapy.
B) Apply a tourniquet to the leg.
C) Ambulate the child.
D) Reassure the child and parent.
To view all questions and flashcards with answers, click on the resource link above.
Page 36

Chapter 35: The Ill Child in the Hospital and Other Care Settings
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/18090
Sample Questions
Q1) Which question most likely elicits information about how a family is coping with a child's hospitalization?
A) "Was this admission an emergency?"
B) "How has your child's hospitalization affected your family?"
C) "Who is taking care of your other children while you are here?"
D) "Is this the child's first hospitalization?"
Q2) Based on concepts related to the normal growth and development of children,which child would have the most difficulty with separation from family during hospitalization?
A) A 5-month-old infant
B) A 15-month-old toddler
C) A 4-year-old child
D) A 7-year-old child
Q3) A designated safe place can enhance the child's security while in the hospital.For example,intrusive procedures that may cause discomfort or anxiety are best done in the child's room.Is this statement true or false?
A)True
B)False
To view all questions and flashcards with answers, click on the resource link above.
Page 37

Chapter 36: The Child With a Chronic Condition or Terminal Illness
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/18091
Sample Questions
Q1) Identify the most appropriate response for the nurse when parents say,"Living with this disease is really hard; it's not fair."
A) "Tell me about what is hard for you."
B) "I know exactly how you must feel."
C) "I know a local support group for families."
D) "I am going to ask the grief counselor to meet with you."
Q2) Families progress through various stages of reactions when a child is diagnosed with a chronic illness or disability.After the shock phase,a period of adjustment usually follows.This is often characterized by which response?
A) Denial
B) Guilt and anger
C) Social reintegration
D) Acceptance of child's limitations
Q3) Identify the most appropriate nursing response to a parent who tells the nurse,"I don't want my child to know she is dying."
A) "I shall respect your decision. I won't say anything to your child."
B) "Don't you think she has a right to know about her condition?"
C) "Would you like me to arrange for the physician to speak with your child?"
D) "I'll answer any questions she asks me as honestly as I can."
Page 38
To view all questions and flashcards with answers, click on the resource link above.

Chapter 37: Principles and Procedures for Nursing Care of Children
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/18092
Sample Questions
Q1) Which nursing action is the most appropriate when applying a face mask to a child for oxygen therapy?
A) The oxygen flow rate should be less than 6 L/min.
B) Make sure the mask fits properly.
C) Keep the child warm.
D) Remove the mask for 5 minutes every hour.
Q2) What is the best response for a nurse to make to a parent who has asked,"When should I start dental care for my child?"
A) "The recommendation is for children to have a dental examination no later than 2.5 years."
B) "Children should see a dentist at least one time before kindergarten."
C) "The recommendation is for children to have a dental examination before first grade."
D) "A dental examination by 1 year of age is the current recommendation."
Q3) What is critical for the nurse to know when using restraints on a child?
A) Use the least restrictive type of restraint.
B) Tie knots securely so they cannot be untied easily.
C) Secure the ties to the mattress or side rails.
D) Remove restraints every 4 hours to assess skin.
To view all questions and flashcards with answers, click on the resource link above. Page 39

Chapter 38: Medication Administration and Safety for
Infants and Children
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/18093
Sample Questions
Q1) A child is receiving intravenous fluids.How frequently should the nurse assess and document the condition of the child's intravenous site?
A) Every hour
B) Every 2 hours
C) Every 4 hours
D) Every shift.
Q2) What nursing actions are correct when administering heparin subcutaneously?
Select all that apply.
A) Insert the needle with the bevel up at a 15-degree angle.
B) Insert the needle at a 45- to 90-degree angle.
C) Insert the needle into the tissue on the upper back.
D) Insert the needle into the abdominal tissue.
E) Massage the injection site when the injection is complete.
Q3) Which food is appropriate to mix with medication?
A) Formula or milk
B) Applesauce
C) Syrup
D) Orange juice
Q4) What is the 24-hour maintenance fluid requirement for a child weighing 8.5 kg?
To view all questions and flashcards with answers, click on the resource link above. Page 40
Chapter 39: Pain Management for Children
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/18094
Sample Questions
Q1) The appropriate tool(s)to assess pain in a 3-year-old child is the (select all that apply)
A) Visual Analogue Scale (VAS)
B) Adolescent and pediatric pain tool
C) Oucher tool
D) Poker Chip Tool
E) FACES pain rating scale
Q2) When assessing pain in any child,the nurse should consider that
A) Any pain assessment tool can be used to assess pain in children.
B) Children as young as 1 year old use words to express pain.
C) The child's behavioral, physiologic, and verbal responses are valuable when assessing pain.
D) Pain assessment tools are minimally effective for communicating about pain.
Q3) Skin to skin holding of infants dressed only in a diaper,next to their mother's or father's chest is commonly known as __________ care.
Q4) When pain is assessed in an infant,it is inappropriate to assess for
A) Facial expressions of pain
B) Localization of pain
C) Crying
D) Thrashing of extremities.

Page 41
To view all questions and flashcards with answers, click on the resource link above.

Chapter 40: The Child With a Fluid and Electrolyte Alteration
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/18095
Sample Questions
Q1) What assessment should the nurse make before initiating an intravenous (IV)infusion of dextrose 5% in 0.9% normal saline solution with 10 mEq of potassium chloride for a child hospitalized with dehydration?
A) Fluid intake
B) Number of stools
C) Urine output
D) Capillary refill
Q2) The parents of a child with acid-base imbalance ask the nurse about mechanisms that regulate acid-base balance.Which statement by the nurse accurately explains the mechanisms regulating acid-base balance in children?
A) The respiratory, renal, and chemical-buffering systems
B) The kidneys balance acid; the lungs balance base
C) The cardiovascular and integumentary systems
D) The skin, kidney, and endocrine systems
Q3) Bodily fluids are composed of two elements; water and _____.
Q4) You are caring for a 44-lb child who is hospitalized with vomiting and severe dehydration.The physician has ordered parenteral rehydration therapy to restore circulation.The order is for sodium chloride (0.9%)solution in a 20 mL/kg bolus.How much will you give?
To view all questions and flashcards with answers, click on the resource link above. Page 42

Chapter 41: The Child With an Infectious Disease
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/18096
Sample Questions
Q1) Which action is initiated when a child has been scratched by a rabid animal?
A) No intervention unless the child becomes symptomatic
B) Administration of immune globulin around the wound
C) Administration of rabies vaccine on days 3, 7, 14, and 28
D) Administration of both immune globulin and vaccine as soon as possible after exposure
Q2) What is the best response to a parent of a 2-month-old infant who asks when the infant should first receive the measles vaccine?
A) "Your baby can get the measles vaccine now."
B) "The first dose is given any time after the first birthday."
C) "She should be vaccinated between 4 and 6 years of age."
D) "This vaccine is administered when the child is 11 years old."
Q3) Which statement made by an adolescent girl indicates an understanding about the prevention of sexually transmitted diseases (STDs)?
A) "I know the only way to prevent STDs is to not be sexually active."
B) "I practice safe sex because I wash myself right after sex."
C) "I won't get any kind of STD because I take the pill."
D) "I only have sex if my boyfriend wears a condom."
To view all questions and flashcards with answers, click on the resource link above. Page 43

Chapter 42: The Child With an Immunologic Alteration
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/18097
Sample Questions
Q1) The Center for Disease Control (CDC,2009)recommendation for immunizing infants who are HIV positive is
A) Follow the routine immunization schedule.
B) Routine immunizations are administered; assess CD4+ counts before administering the MMR and varicella vaccinations.
C) Do not give immunizations because of the infant's altered immune status.
D) Eliminate the pertussis vaccination because of the risk of convulsions.
Q2) It is important for the parents of a child who has had a severe allergic reaction to either peanuts or tree nuts to talk to their health care provider about whether the child should have medication available at school in case of an unanticipated exposure to nuts.Epinephrine is now available and easy to use in a device known as the
Q3) What is the drug of choice the nurse should administer in the acute treatment of anaphylaxis?
A) Diphenhydramine
B) Histamine inhibitor (cimetidine)
C) Epinephrine
D) Albuterol.
To view all questions and flashcards with answers, click on the resource link above.
44

Chapter 43: The Child With a Gastrointestinal Alteration
Available Study Resources on Quizplus for this Chatper
55 Verified Questions
55 Flashcards
Source URL: https://quizplus.com/quiz/18098
Sample Questions
Q1) Which order should the nurse question when caring for a 5-year-old child after surgery for Hirschsprung disease?
A) Monitor rectal temperature every 4 hours and report an elevation greater than 38.5° C.
B) Assess stools after surgery.
C) Keep the child NPO until bowel sounds return.
D) Maintain IV fluids at ordered rate.
Q2) The nurse is teaching the parents of a child who has been diagnosed with irritable bowel syndrome about the pathophysiology associated with the symptoms their child is experiencing.Which response indicates to the nurse that her teaching has been effective?
A) "My child has an absence of ganglion cells in the rectum causing alternating diarrhea and constipation."
B) "The cause of my child's diarrhea and constipation is disorganized intestinal contractility."
C) "My child has an intestinal obstruction; that's why he has abdominal pain."
D) "My child has an intolerance to gluten, and this causes him to have abdominal pain."
To view all questions and flashcards with answers, click on the resource link above. Page 45

Chapter 44: The Child With a Genitourinary Alteration
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/18099
Sample Questions
Q1) A child with secondary enuresis who complains of dysuria or urgency should be evaluated for what condition? Select all that apply.
A) Hypocalciuria
B) Nephrotic syndrome
C) Glomerulonephritis
D) UTI
E) Diabetes mellitus
Q2) A child with secondary enuresis who complains of dysuria or urgency should be evaluated for which condition?
A) Hypocalciuria
B) Nephrotic syndrome
C) Glomerulonephritis
D) UTI
Q3) The narrowing of preputial opening of foreskin is called
A) Chordee
B) Phimosis
C) Epispadias
D) Hypospadias
To view all questions and flashcards with answers, click on the resource link above.

Chapter 45: The Child With a Respiratory Alteration
Available Study Resources on Quizplus for this Chatper
48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/18100
Sample Questions
Q1) Teaching safety precautions with the administration of antihistamines is important because of what common side effect?
A) Dry mouth
B) Excitability
C) Drowsiness
D) Dry mucous membranes
Q2) Why do infants and young children quickly have respiratory distress in acute and chronic alterations of the respiratory system?
A) They have a widened, shorter airway.
B) There is a defect in their sucking ability.
C) The gag reflex increases mucus production.
D) Mucus and edema obstruct small airways.
Q3) Which classification of drugs is used to relieve an acute asthma episode?
A) Short-acting beta2-adrenergic agonist
B) Inhaled corticosteroids
C) Leukotriene blockers
D) Long-acting bronchodilators
Q4) The childhood vaccine ____________________ has dramatically reduced the incidence of epiglottitis.
To view all questions and flashcards with answers, click on the resource link above. Page 47

Chapter 46: The Child With a Cardiovascular Alteration
Available Study Resources on Quizplus for this Chatper
39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/18101
Sample Questions
Q1) A nurse is assigned to care for an infant with an unrepaired tetralogy of Fallot.What should the nurse do first when the baby is crying and becomes severely cyanotic?
A) Place the infant in a knee-chest position.
B) Administer oxygen.
C) Administer morphine sulfate.
D) Calm the infant.
Q2) Which defect results in increased pulmonary blood flow?
A) Pulmonic stenosis
B) Tricuspid atresia
C) Atrial septal defect
D) Transposition of the great arteries
Q3) The nurse is admitting a child to the hospital for a cardiac workup.What is the first step in a cardiac assessment?
A) Percussion
B) Palpation
C) Auscultation
D) History and inspection
To view all questions and flashcards with answers, click on the resource link above.

Chapter 47: The Child With a Hematologic Alteration
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/18102
Sample Questions
Q1) The nurse is caring for a child with aplastic anemia.What nursing diagnoses are appropriate? Select all that apply.
A) Acute Pain related to vaso-occlusion
B) Risk for Infection related to inadequate secondary defenses or immunosuppression
C) Ineffective Protection related to thrombocytopenia
D) Ineffective Tissue Perfusion related to anemia
E) Ineffective Protection related to abnormal clotting
Q2) What is the priority in the discharge plan for a child with immune thrombocytopenic purpura (ITP)?
A) Teaching the parents to report excessive fatigue to the physician
B) Monitoring the child's hemoglobin level every 2 weeks
C) Providing a diet that contains iron-rich foods
D) Establishing a safe, age-appropriate home environment
Q3) An accurate description of anemia is
A) Increased blood viscosity
B) Depressed hematopoietic system
C) Presence of abnormal hemoglobin
D) Decreased oxygen-carrying capacity of blood
To view all questions and flashcards with answers, click on the resource link above.
49

Chapter 48: The Child With Cancer
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/18103
Sample Questions
Q1) Hematopoietic stem cell transplantation (HSCT)is the standard treatment for a child in his or her first remission with what cancer?
A) ALL
B) Non-Hodgkin lymphoma
C) Wilms' tumor
D) Acute myeloblastic leukemia (AML)
Q2) While completing an assessment on a 6-month-old infant,which finding should the nurse recognize as a symptom of a brain tumor in an infant?
A) Blurred vision
B) Increased head circumference
C) Vomiting when getting out of bed
D) Headache
Q3) Children with non-Hodgkin lymphoma are at risk for complications resulting from tumor lysis syndrome (TLS).The nurse should assess for
A) Liver failure
B) CNS deficit
C) Kidney failure
D) Respiratory distress
To view all questions and flashcards with answers, click on the resource link above.

Chapter 49: The Child With an Alteration in Tissue Integrity
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/18104
Sample Questions
Q1) To assess the child with severe burns for adequate perfusion,the nurse monitors
A) Distal pulses
B) Skin turgor
C) Urine output
D) Mucous membranes
Q2) A nurse is instructing parents on treatment of pediculosis (head lice).Which should the nurse include in the teaching plan? Select all that apply.
A) Bedding should be washed in warm water and dried on a low setting.
B) After treating the hair and scalp with a pediculicide, shampoo the hair with regular shampoo.
C) Retreat the hair and scalp with a pediculicide in 7 to 10 days.
D) Items that cannot be washed should be dry cleaned or sealed in plastic bags for 2 to 3 weeks.
E) Combs and brushes should be boiled in water for at least 10 minutes.
Q3) The process of burn shock continues until what physiologic mechanism occurs?
A) Heart rate returns to normal.
B) Airway swelling decreases.
C) Body temperature regulation returns to normal.
D) Capillaries regain their seal.
To view all questions and flashcards with answers, click on the resource link above.
Page 51

Chapter 50: The Child With a Musculoskeletal Alteration
Available Study Resources on Quizplus for this Chatper
37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/18105
Sample Questions
Q1) Which interventions should the nurse implement to prevent complications of immobility for a child in skeletal traction? Select all that apply.
A) Reposition the child every 2 hours.
B) Avoid use of an egg-crate or sheepskin mattress.
C) Limit fluid intake.
D) Administer stool softeners as prescribed.
E) Encourage coughing and deep breathing.
Q2) A 4-year-old child with a long leg cast complains of "fire" in his cast.The nurse should
A) Notify the physician on his next rounds.
B) Note the complaint in the nurse's notes.
C) Notify the physician immediately.
D) Report the complaint to the next nurse on duty.
Q3) A 6-year-old patient who has been placed in skeletal traction has pain,edema,and fever.The nurse should suspect
A) Meningitis
B) Crepitus
C) Osteomyelitis
D) Osteochondrosis
To view all questions and flashcards with answers, click on the resource link above.

Chapter 51: The Child With an Endocrine or Metabolic Alteration
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/18106
Sample Questions
Q1) What should the nurse include in the teaching plan for parents of a child with diabetes insipidus who is receiving DDAVP?
A) Increase the dosage of DDAVP as the urine specific gravity (SG) increases.
B) Give DDAVP only if urine output decreases.
C) The child should have free access to water and toilet facilities at school.
D) Cleanse skin before administering the transdermal patch.
Q2) Type 1 diabetes mellitus is suspected in an adolescent.Which clinical manifestation may be present?
A) Moist skin
B) Weight gain
C) Fluid overload
D) Blurred vision
Q3) Which sign,when exhibited by a hospitalized child,should the nurse recognize as a characteristic of diabetes insipidus?
A) Weight gain
B) Increased urine specific gravity
C) Increased urination
D) Serum sodium level of 130 mEq/L
To view all questions and flashcards with answers, click on the resource link above. Page 53

Chapter 52: The Child With a Neurologic Alteration
Available Study Resources on Quizplus for this Chatper
41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/18107
Sample Questions
Q1) What nursing actions are indicated when the nurse is administering phenytoin (Dilantin)by the intravenous route to control seizures? Select all that apply.
A) It must be given with D51/2NS.
B) The child will require monitoring of therapeutic serum levels while taking this medication.
C) Dilantin should be given with food because it causes gastrointestinal distress.
D) It must be given in normal saline.
E) It must be filtered.
Q2) Which statement by an adolescent indicates an understanding about factors that can trigger migraine headaches?
A) "I should avoid loud noises because this is a common migraine trigger."
B) "Exercise can cause a migraine. I guess I won't have to take gym anymore."
C) "I think I'll get a migraine if I go to bed at 9 PM on week nights."
D) "I am learning to relax because I get headaches when I am worried about stuff."
To view all questions and flashcards with answers, click on the resource link above.

Chapter 53: Psychosocial Problems in Children and Families
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/18108
Sample Questions
Q1) Which sign or symptom is likely to be manifested by an adolescent with a depressive disorder?
A) Abuse of alcohol
B) Impulsivity and distractibility
C) Carelessness and inattention to details
D) Refusal to leave the house
Q2) The nurse is aware that suicide risk increases if the child displays which characteristics? Select all that apply.
A) Previous suicide attempt
B) No previous exposure to violence in the home
C) Recent loss
D) Effective social network
E) History of physical abuse
Q3) In counseling an adolescent who is abusing alcohol,the nurse explains that alcohol abuse primarily affects which organ of the body?
A) Heart
B) Liver
C) Brain
D) Lungs
To view all questions and flashcards with answers, click on the resource link above. Page 55

Chapter 54: The Child With a Developmental Disability
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/18109
Sample Questions
Q1) Which statement best describes Fragile X syndrome?
A) Chromosomal defect affecting only females
B) Chromosomal defect that follows the pattern of X-linked recessive disorders
C) Second most common genetic cause of cognitive impairment
D) Most common cause of noninherited cognitive impairment
Q2) Throughout their life span,cognitively impaired children are less capable of managing environmental challenges and are at risk for
A) Nutritional deficits
B) Visual impairments
C) Physical injuries
D) Psychiatric problems
Q3) The infant with Down syndrome is closely monitored during the first year of life for what serious condition?
A) Thyroid complications
B) Orthopedic malformations
C) Dental malformation
D) Cardiac abnormalities
Q4) Unlike fragile X syndrome,which affects primarily males,__________ (RS)is almost exclusively linked to female gender.
To view all questions and flashcards with answers, click on the resource link above. Page 56

Chapter 55: The Child With a Sensory Alteration
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/18110
Sample Questions
Q1) What manifestation in a 5-month-old child could indicate visual problems?
A) Lack of binocularity
B) Visual acuity of 20/50
C) Strabismus
D) Hyperopia
Q2) The most common type of hearing loss,which results from interference of transmission of sound to the middle ear,is called
A) Conductive
B) Sensorineural
C) Mixed conductive-sensorineural
D) Central auditory imperceptive
Q3) Initial care of the child with a chemical burn to the eye(s)is focused on
A) Irrigation of the affected eye(s)
B) Application of topical steroids
C) Administration of an analgesic
D) Administration of medication to constrict the pupils
Q4) Adequate hearing depends on intact auditory structures and quality of sound.Failure to hear at 16 to 25 dB would be categorized as a __________ hearing loss.
To view all questions and flashcards with answers, click on the resource link above. Page 57